A nurse is teaching a class about cultural bias in health care. The nurse should include that which of the following can occur as a result of cultural bias?
Increased amount of time spent with each client
Improved therapeutic communication with clients
Increased disparities in health care
Improved assessment of clients
The Correct Answer is C
Choice A reason: Cultural bias typically reduces, not increases, time spent with clients from marginalized groups due to stereotyping or discomfort. Providers may rush interactions, leading to inadequate care. This undermines equitable treatment, as biased assumptions can limit thorough assessments or engagement, making this an incorrect outcome of cultural bias.
Choice B reason: Cultural bias hinders, not improves, therapeutic communication. Misunderstandings or stereotypes about a client’s cultural background can create barriers, reducing trust and effective dialogue. Effective communication requires cultural competence, which bias undermines, leading to poorer client-provider interactions and less effective care, making this incorrect.
Choice C reason: Cultural bias contributes to increased disparities in health care by leading to unequal treatment, misdiagnoses, or neglect of culturally specific needs. Biased assumptions about race, ethnicity, or beliefs can result in suboptimal care, exacerbating health inequities and outcomes, making this the correct consequence of cultural bias in healthcare settings.
Choice D reason: Cultural bias impairs, not improves, client assessments. Stereotyping or lack of cultural understanding can lead to missed symptoms, misinterpretations, or inadequate history-taking. Accurate assessments require cultural sensitivity to address diverse health beliefs and practices, making improved assessment an incorrect outcome of cultural bias.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Mottled skin, or livedo reticularis, is common at the end of life due to circulatory shutdown. Reduced cardiac output and vasoconstriction in peripheral vessels cause uneven blood flow, leading to mottling. This reflects systemic hypoperfusion as the body prioritizes vital organs in terminal stages.
Choice B reason: Hypertension is uncommon at the end of life, as circulatory failure typically causes hypotension due to decreased cardiac output and vascular tone. Sympathetic drive may briefly elevate blood pressure, but terminal hypoperfusion leads to low pressure, not sustained hypertension, in dying patients.
Choice C reason: Moist mucous membranes are not typical at the end of life, as dehydration occurs from reduced intake and fluid shifts. Dry mucous membranes result from decreased salivary and mucosal secretions, reflecting hypovolemia and reduced glandular function in terminal patients, not moist conditions.
Choice D reason: Increased bowel sounds are not expected at the end of life, as gastrointestinal motility slows due to reduced autonomic function and hypoperfusion. Bowel sounds typically decrease or cease, reflecting ileus or shutdown of digestive processes as the body conserves energy in terminal stages.
Correct Answer is ["B","E"]
Explanation
Choice A reason: Recent oral surgery contraindicates oral temperature measurement due to risks of disrupting surgical sites, causing pain, or inducing bleeding. The oral mucosa’s sensitivity post-surgery makes thermometer placement unsafe and potentially inaccurate due to inflammation or swelling. Tympanic or axillary methods are safer alternatives to ensure accurate temperature readings without complications.
Choice B reason: Hemorrhoids affect the rectal area and have no impact on the oral cavity, making oral temperature measurement appropriate. This method is non-invasive, accurate, and unaffected by lower gastrointestinal conditions. Clients with hemorrhoids can safely have their temperature measured orally, as the condition does not interfere with oral thermometry’s reliability or safety.
Choice C reason: Mouth breathing interferes with oral temperature measurement by allowing airflow to cool the oral cavity, leading to inaccurate, falsely low readings. Consistent closed-mouth positioning is required for reliable results. For clients who breathe through the mouth, tympanic or temporal artery thermometry is recommended to avoid errors caused by altered oral mucosal temperature.
Choice D reason: Drinking ice water cools the oral cavity, causing falsely low temperature readings for up to 30 minutes. This affects the accuracy of oral thermometry, as the thermometer cannot reflect core body temperature. Alternative methods, such as tympanic or axillary measurements, should be used until the oral cavity stabilizes to ensure reliable results.
Choice E reason: A coagulation disorder does not affect the suitability of oral temperature measurement. This non-invasive method poses no bleeding risk and is safe for clients with conditions like hemophilia. Oral thermometry accurately reflects core body temperature without interfering with the client’s hematological condition, making it an appropriate choice for temperature assessment.
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